| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.69 | $52.69 | $52.69 | |
Aetna
| Professional | $52.69 | $58.70 | $95.18 | |
United
| Professional | $69.81 | $90.52 | $129.56 |
Automated analysis of binocular eye movements without spatial calibration, including disconjugacy, saccades, and pupillary dynamics for the assessment of concussion, with interpretation and report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.69 | $52.69 | $52.69 | |
Aetna
| Professional | $52.69 | $58.70 | $95.18 | |
United
| Professional | $69.81 | $90.52 | $129.56 |